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Tuesday, 07 November 2023 00:00

Risks of Chronic Ankle Instability

Ankle sprains are a common occurrence, especially among active individuals, but for some, they can be a recurrent and frustrating issue. Ankle sprains most frequently occur when the ligaments on the outside of the ankle are stretched or torn as the joint moves beyond its normal range of motion. Many such sprains may appear minor, with minimal swelling and mobility problems. However, if recurrent, they can have a cumulative effect and produce lasting consequences, leading to chronic ankle instability. Once you have experienced an ankle sprain, you are more likely to have another. Studies have shown that a history of lateral ankle sprains can disrupt the structural integrity of ligaments in the joint. As a result, up to 70% of patients report feelings of instability and recurrent ankle sprain injuries. Consequences include a reduced quality of life and an increased risk of early-onset osteoarthritis. Also, people with a history of ankle sprains often become progressively sedentary, are more likely to gain weight, and experience more general body pain. Methods to reduce the risk of another sprain include wearing an ankle brace and performing a series of exercises designed to strengthen the ankle joint. For help with recurring ankle sprains or instability, it is suggested that you make an appointment with a podiatrist for a full assessment and appropriate treatment options.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Sprains
Tuesday, 31 October 2023 00:00

Treatment and Recovery for Broken Ankles

Dealing with a broken ankle can be both painful and challenging. The first step is to seek medical attention for diagnosis through an X-ray. The treatment approach will depend on the severity of the fracture. Treatment options include using a specialized boot or a plaster cast to stabilize the ankle, possible bone manipulation under anesthesia, or even surgical intervention. Regular follow-up appointments are essential to monitor healing progress. Once diagnosed and treated, the recovery process begins. Healing typically takes 6 to 8 weeks or longer, depending on the severity of the break. Specific post-treatment instructions include how long the boot or cast will be needed and guidelines for weight-bearing. Gradual ankle movement and prescribed exercises may be recommended to prevent stiffness. Other recovery tips include resting and elevating the ankle, taking prescribed pain relievers, and being cautious about weight bearing. Gently moving your toes and bending your knee to prevent muscle stiffness is thought to be helpful. For help in dealing with a fractured ankle, it is suggested that you make an appointment with a podiatrist. 

Broken ankles need immediate treatment. If you are seeking treatment, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments

Poor circulation in the feet can be a distressing issue that affects both your comfort and overall health. Several factors can contribute to this condition. One primary cause is atherosclerosis, a buildup of plaque in the arteries that restricts blood flow. Diabetes can lead to neuropathy and arterial damage, resulting in circulatory problems. Additionally, smoking damages blood vessels, reducing circulation. Peripheral artery disease narrows the arteries, often causing discomfort. Blood clots, such as deep vein thrombosis, can obstruct blood flow. Symptoms of poor circulation in the feet include cold feet, numbness, tingling, and muscle cramps. Skin discoloration, slow wound healing, and the development of leg ulcers are also common signs.  Addressing the underlying causes and adopting a healthier lifestyle can improve circulation and overall well-being. Poor circulation is a serious condition that can affect the feet. If you suffer from this condition, it is strongly suggested that you visit a podiatrist who can guide you toward treatment options and relief.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Robert Stein, DPM of South Shore Foot Care. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet
Tuesday, 17 October 2023 00:00

Gout in Young People

Gout, often associated with older, overweight men who indulge in rich food and excessive alcohol, is increasingly affecting younger individuals. Gout is a form of arthritis caused by the accumulation of uric acid, or urate in the bloodstream. Urate crystals can develop in joints, causing intense and sudden pain, most commonly in the big toe. While gout is more commonly associated with older age, it can affect people of all ages, including young adults and even teenagers. Several factors can increase the risk of developing gout at a younger age, including a family history of gout, consuming a diet high in purine-rich foods, or being overweight. It can also affect people who have certain medical conditions, or who take specific medications. Treatment involves managing acute attacks by taking anti-inflammatory drugs, and urate-lowering medication may be used for long-term prevention. Dietary changes, including avoiding alcohol, may help to prevent gout. If you are a younger person and are experiencing symptoms of gout in your big toe, it is strongly suggested that you make an appointment with a podiatrist who can properly diagnose this condition and provide the correct treatment.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Robert Stein, DPM from South Shore Foot Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Gout
Wednesday, 11 October 2023 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 10 October 2023 00:00

How Shoes Can Affect Your Foot Health

Proper footwear is essential for preventing various foot conditions and discomfort. Here are some key considerations to keep in mind when choosing your footwear. Those who stand for extended periods on hard surfaces like concrete may experience heel and forefoot pain and calluses and corns. Opt for supportive shoes with softer soles and arch support to alleviate these stresses. This helps distribute your weight more evenly and reduces pressure on the feet. If you have foot soreness, consider lace-up boots. These boots can help maintain leg alignment and distribute even pressure on the muscles and ligaments around your foot. While high heels may be fashionable, they can cause forefoot pressure and deformities. By limiting their use, you can promote better foot health. For those engaged in physical activities, look for shoes that provide cushioning for shock absorption during activities such as running and jumping. Flexibility at the ball of the foot and proper heel support are other essential features. For further help with taking care of your feet through appropriate footwear, it is suggested that you seek the help of a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everyday Foot Care
Tuesday, 03 October 2023 00:00

Reasons High Heels Can Hurt the Feet

High heels may be fashionable and elegant but often come at a painful cost for your feet. Several reasons contribute to the discomfort and pain associated with wearing high heels. Inflammation, pain, and calluses can be caused by excessive pressure as the body weight is forced onto the balls of the feet. Additionally, posture may be affected, as wearing high heels can tilt the body forward. This can lead to strained muscles in the arches. Foot conditions such as bunions and hammertoes may develop as pointed-toe high heels can compress the toes. Many people who frequently wear high heels develop a shortened Achilles tendon that may lead to stress on the overall foot and leg. If you have questions or concerns about the effects of high heels and the feet, it is suggested that you confer with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Effect of High Heels on the Feet
Tuesday, 26 September 2023 00:00

Advantages of In-Office Surgical Procedures

In-office surgery is an evolving trend in podiatry, offering numerous benefits for both patients and their doctors. This type of procedure can be less expensive and time-consuming, as well as more convenient, for both. In-office surgery eliminates the need for patients and podiatrists to travel to hospitals or ambulatory surgical centers, which can save a lot of time. Also, having certain procedures performed at your podiatrist’s office may be the perfect solution for patients seeking more affordable options for their foot health needs. In addition, medical advancements, such as mini C-arms and the use of local anesthesia, contribute to a safer surgical environment. Plus, in-office surgery procedures often can reduce patient anxiety because they are viewed as being easier and less costly. Many common foot conditions, such as bunions, nail problems, neuromas, and warts, can be effectively treated in the podiatrist’s office. It is thought that about 80 percent of podiatry surgical cases fall into this category. To find out more about in-office surgery, it is suggested that you consult your podiatrist to see what options are available.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Robert Stein, DPM of South Shore Foot Care. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery

Tarsal tunnel syndrome, abbreviated TTS, is a relatively lesser-known but impactful condition affecting the feet. It is comparable to the more recognized carpal tunnel syndrome but occurs in the ankle. TTS is characterized by compression or irritation of the tibial nerve as it passes through the tarsal tunnel, a narrow space on the inside of the ankle, behind the medial malleolus. Various factors can contribute to TTS, with the most common cause being excessive pressure on the nerve due to inflammation or injury. Additional potential causes include overpronation, diabetes, and systemic diseases such as arthritis. Symptoms often include tingling, burning sensations, and pain along the inner ankle and sole that can radiate into the toes. Treatment options for tarsal tunnel syndrome depend on its severity. Conservative approaches include getting adequate rest, taking anti-inflammatory medications, or wearing orthotic devices. These treatments can help to alleviate pressure on the nerve. In severe cases, surgical intervention may be necessary to decompress the tibial nerve. Early diagnosis and appropriate management are essential to relieving the discomfort associated with tarsal tunnel syndrome and restoring normal foot function. If you have this condition, it is strongly suggested that you are under the care of a podiatrist who can effectively manage tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

Understanding how your choice of footwear can affect your feet, legs, and joints is crucial. Ill-fitting or unsupportive shoes can exert pressure on these areas during physical activity, potentially resulting in discomfort and injuries. Inappropriate footwear choices may contribute to common sports injuries such as shin splints and Achilles tendon pain, as well as foot problems that can include corns, bunions, ingrown nails. These issues can severely limit or even halt your physical activity. Different activities require specific types of footwear, such as beach and road running. Wearing unsuitable shoes can worsen existing problems, such as hip, knee, ankle, or foot pain or arthritis. Even short periods of wearing in ill-fitting shoes can cause stress and pain in your bones, joints, and supporting soft tissues, especially if you stand for extended periods at a time. Your choice of shoes can significantly affect your walking style or gait. The correct step involves the heel making initial contact with the ground, followed by a slight inward roll of the arch. This can allow the ball of the foot and big toe to follow. The heel then lifts off the ground, enabling you to push off from the ball of your foot and big toe. Some individuals have arches that roll excessively inward or outward, both of which can impact how effectively your feet absorb shock. If you have questions about how the shoes you wear are affecting the biomechanics of your feet, it is suggested that you make an appointment with a podiatrist for a consultation.

If you have any concerns about your feet, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Biomechanics in Podiatry
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